TB-LAMP: Introduction, Principle, Procedure, Result Interpretation, and Keynotes

TB-LAMP Flowchart

Introduction TB-LAMP (Tuberculosis Loop-Mediated Isothermal Amplification) is a manual, rapid molecular diagnostic test endorsed by the World Health Organization (WHO) to detect the Mycobacterium tuberculosis complex (MTBC) in sputum samples. It serves as a highly sensitive alternative to traditional sputum smear microscopy, particularly optimized for …

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BD BACTEC™ MGIT™ 960: Principles, Workflows, and Clinical Applications

BD BACTEC™ MGIT™ 960- Principles, Workflows, and Clinical Applications

Introduction The BD BACTEC™ MGIT™ 960 (Mycobacteria Growth Indicator Tube) is a fully automated, high-volume culture system designed for the rapid detection of mycobacteria and subsequent drug susceptibility testing (DST). Developed by Becton Dickinson (BD), this nonradiometric system addresses the critical clinical need for accelerated …

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Mycobacteria Growth Indicator Tube (MGIT) Culture Outcomes: Introduction, Identification, Causes of Contamination, and Keynotes

Mycobacteria Growth Indicator Tube (MGIT)-Positive

Introduction The Mycobacteria Growth Indicator Tube (MGIT) system is a high-throughput, automated method optimized for the rapid isolation and detection of Mycobacterium tuberculosis complex and non-tuberculous mycobacteria (NTM).  [Initial Stage]     Oxygen is high —–> Quenches sensor —–> NO FLUORESCENCE [Bacterial Growth]  Oxygen consumed —-> Frees …

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Immunohistochemistry (IHC): Introduction, Application, and Keynotes

Introduction to IHC Immunohistochemistry (IHC) is a powerful laboratory technique that combines anatomical, immunological, and biochemical methods to detect specific antigens (proteins) in tissue sections. By exploiting the principle of antibodies binding specifically to antigens in biological tissues, IHC allows for the visualization of protein …

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Second-Line Drug Susceptibility Testing (SL-DST) for Tuberculosis:Introduction, Principle, Procedure, Result-Interpretation, and Keynotes

Phenotypic drug susceptibility testing (DST) of Mycobacterium tuberculosis using the BACTEC MGIT 960 system

Introduction Second-line drug susceptibility testing (SL-DST) for tuberculosis is a crucial laboratory procedure designed to detect resistance to anti-TB drugs used when first-line treatment fails (i.e., multidrug-resistant TB – MDR-TB).  Principle SL-DST measures the susceptibility of Mycobacterium tuberculosis to specific agents by determining the Critical …

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Middlebrook 7H9 Broth: Introduction, Composition, Principle, Procedure, Result-Interpretation, Uses, and Keynotes

The BBL MGIT tube, showing Modified Middlebrook 7H9 Broth paired with an oxygen-sensitive fluorescent sensor for rapid diagnostic results

Introduction Middlebrook 7H9 broth is a liquid growth medium first described in 1958 by Middlebrook and Cohn for the specialized cultivation of Mycobacterium species. It is widely used in clinical and research settings for rapid growth, biochemical testing, and preparing inocula for drug susceptibility testing …

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Morphological Characterization of MTBC: Identifying “Buff” Granular Growth in MGIT Liquid Culture

Levofloxacin-resistant MTBC-Left tube-Linezolid sensitive MTBC (right tube)

Visual Observation Technical Interpretation The MGIT Principle: These tubes contain a fluorescent sensor embedded in silicon at the bottom. As the MTBC metabolizes nutrients, it consumes dissolved oxygen. MTBC Characteristics The “buff-colored” (off-white to light yellow) and granular appearance is highly indicative of the M. …

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Pseudomonas fluorescens: Introduction, Morphology, Pathogenicity, Lab Diagnosis, Treatment, Prevention, and Keynotes

Gram negative rods (GNRs) of Pseudomonas fluorescens in Gram staining of culture

Introduction Pseudomonas fluorescens inhabits diverse environments and thrives in soil and water. Moreover, it plays a significant role in nutrient cycling. The bacterium exists in numerous ecological niches and adapts quickly to changes. Furthermore, researchers study it for its beneficial and harmful properties. It interacts …

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